[Mental disorders and their underdiagnosis in primary care].
| Autor: | Cabrera Mateos JL; Consultorio Local de Puerto del Carmen, Zona Básica de Salud de Tías, Lanzarote, España. Electronic address: jlcabm@gmail.com., Touriño González R; Psiquiatra, Hospital Universitario de Gran Canaria, Las Palmas, España., Núñez González E; Estadístico, Departamento de Ciencias Clínicas, Universidad de Las Palmas de Gran Canaria, Las Palmas, España. |
|---|---|
| Jazyk: | Spanish; Castilian |
| Zdroj: | Semergen [Semergen] 2018 May - Jun; Vol. 44 (4), pp. 234-242. Date of Electronic Publication: 2017 May 12. |
| DOI: | 10.1016/j.semerg.2016.11.007 |
| Abstrakt: | Despite its high prevalence, mental disorders are often underdiagnosed. Objective: To determine the magnitude of the underdiagnosis mental disorders and its associated characteristics. Methodology: A descriptive cross-sectional study performed in Lanzarote (2011) on 310 patients selected by cluster random sampling. A self-completed questionnaire was used that contained the General Health Questionnaire-28, as well as structured interview using the Mini International Neuropsychiatric Interview to confirm the diagnosis of mental disorder. The current diagnosis registered in the DRAGO-AP electronic medical record was also recorded. Results: Of the 75 patients detected with the interview, 14 (18.67%) had a diagnosis recorded in the medical record (sensitivity=0.19; IC 95% CI; 0.09-28). The positive predictive value of being in the medical record was 0.56. With respect to sensitivity, only the "number of visits made to the health centre in the last 3 months" was significantly higher in the group of patients also with a diagnosis of any mental disorder in the medical record (5 vs. 2.77; p=.002). Conclusions: There is an important underdiagnosis of the mental disorders in our environment. More visits to the health centre are associated with this diagnosis. (Copyright © 2017 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|